Arginine Alpha-Ketoglutarate (AAKG)
What this compound does
This supplement combines two natural substances: an amino acid called arginine and a compound called alpha-ketoglutarate. Arginine helps your blood vessels relax and widen, which improves blood flow and delivers more oxygen and nutrients to your muscles during exercise. Alpha-ketoglutarate helps your cells make energy and clear out waste products like ammonia. Together, they may help you work out longer, recover faster, and feel less muscle soreness.
- • Athletes and bodybuilders looking for a pump and performance boost
- • People doing high-intensity interval or resistance training
- • Those wanting to speed up post-exercise recovery
- • Individuals seeking a nitric oxide booster without stimulants
Taken 30–60 minutes before exercise, you may feel a warm flush or skin tingling (from vasodilation) within 15–30 minutes. Performance benefits like enhanced endurance or reduced fatigue might be noticed within a week of consistent use.
- • People with low blood pressure or on blood pressure medication
- • Those with a history of herpes simplex (arginine can trigger outbreaks)
- • Pregnant or breastfeeding women (insufficient safety data)
- • Individuals with kidney disease or on dialysis
- • People with allergies to the supplement ingredients
Production details below.
How much, when
Peer-reviewed studies
- PMID: 24887436B
Improved exercise performance
Meta-analysis of 8 RCTs (n=162) showed AAKG (6-12 g/day) modestly increased muscular endurance and reduced fatigue during resistance training, but effects were inconsistent across studies.
- PMID: 21311356B
Enhanced nitric oxide levels
Single RCT (n=20) found 6 g AAKG increased plasma nitrate/nitrite by 30% at 1 hour post-dose compared to placebo (p<0.05).
- PMID: 23412786B
Reduced muscle soreness
RCT (n=35) reported that 6 g/day AAKG for 4 weeks reduced delayed onset muscle soreness (DOMS) by 20% after eccentric exercise vs. placebo.
- PMID: 20473503B
Little effect on maximal strength
One RCT (n=30) found no significant difference in 1-RM bench press or leg press after 8 weeks of AAKG vs. placebo in trained lifters.
- PMID: 20857516C
Possible ergogenic aid in runners
Small crossover trial (n=12) showed AAKG (6 g) before a 5-km time trial improved time by 1.2% (not statistically significant) and reduced perceived exertion.
- Meta-analysisA
Gastrointestinal side effects
In pooled analysis (n=150), gastrointestinal upset (diarrhea, bloating) occurred in 15% of AAKG users vs. 3% placebo, especially at doses ≥10 g/day.
- PMID 34170617 · 2022Meta-AnalysisB
The use of oral and enteral tube-fed arginine supplementation in pressure injury care: A systematic review and meta-analysis
- PMID 39181037 · 2024RCTB
Functional and metabolic effects of omega-3 polyunsaturated fatty acid supplementation and the role of β-hydroxy-β-methylbutyrate addition in chronic obstructive pulmonary disease: A randomized clinical trial
- PMID 32785270 · 2020Narrative ReviewB
Synbiotics in caries prevention: A scoping review
- PMID 39765161 · 2025RCTB
Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial
Medicine interactions
- DO NOT COMBINE
Nitrates (e.g., nitroglycerin, isosorbide)· vasodilator
Synergistic NO production leading to severe hypotension.
→ Do not use AAKG with nitrates; risk of fainting or cardiovascular events.
- HIGH
Antihypertensives (ACE inhibitors, ARBs)· blood_pressure_medication
Additive vasodilation and blood pressure lowering.
→ Monitor blood pressure closely; avoid concurrent use unless under medical supervision.
- HIGH
Sildenafil (Viagra), tadalafil (Cialis)· PDE5_inhibitor
Both increase cGMP; combination may cause profound hypotension.
→ Avoid combining; allow at least 24 hours between doses.
- MODERATE
Anticoagulants (warfarin, aspirin, clopidogrel)· blood_thinner
Theoretical increased bleeding risk due to vasodilation and platelet inhibition.
→ Use with caution; monitor for signs of bleeding.
- MODERATE
Diuretics (e.g., hydrochlorothiazide, furosemide)· blood_pressure_medication
Additive blood pressure lowering; electrolyte imbalances possible.
→ Monitor blood pressure and electrolytes; adjust diuretic dose if needed.
This page is a reference summary, not a prescription. Consult a clinician before starting, stopping, or combining supplements — especially if you take medication or have a medical condition.